Thomas A Kingsley, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015726-1 Issued in NY

Practice address

3752 Route 9G
Rhinebeck, NY 12572-1173

Phone

(845) 876-8220

Fax

(845) 876-8221

NPI assigned

Jul 31, 2006

Last updated

Oct 2, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miracle of Health Holistic Services

  • Health Service Clinic/Center
  • Hudson, NY
  • NPI 1699655563
  NPD
• Kingsley-Hylkema Physical Therapy, P.C.

  dba Dynamic Physical Therapy

  • Physical Therapist
  • Rhinebeck, NY
  • NPI 1003832692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1720094881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3752 ROUTE 9G",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721173",
            "telephone_number": "845-876-8220",
            "fax_number": "845-876-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3752 ROUTE 9G",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721173",
            "telephone_number": "845-876-8220",
            "fax_number": "845-876-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSLEY",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015726-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP EDI#",
            "identifier": "KI0Q0WSI10",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP PROVIDER ID",
            "identifier": "810921",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI#",
            "identifier": "1003832692",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS PROVIDER ID",
            "identifier": "9386153",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE T.KINGSLEY PAPER",
            "identifier": "QL686Q0SI1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV ID",
            "identifier": "2042030",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "2984871",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE T.KINGSLEY EDI#",
            "identifier": "TK0QL68620",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-HMO PROVIDER ID",
            "identifier": "55418",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER ID",
            "identifier": "437294",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID",
            "identifier": "P2791617",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara J Kellerhouse, SLP
• Sarah L Kieran, LMSW
• James S. Kikuoka, MD
• Paul Joseph King, LMHC
• Kingsley-Hylkema Physical Therapy, P.C. (Dynamic Physical Therapy)
• Sarah Kiperman
• Susan Theresa Kistner, RN
• Suzanne Eileen Klare, R.N.
• Tara Renee Kochey, PT, DPT
• Michael W Kolber, R.N.

• Physical Therapist in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.